Healthcare Provider Details

I. General information

NPI: 1255252086
Provider Name (Legal Business Name): LIZMARIE DONES-MIRANDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 WALNUT ST
FALL RIVER MA
02720-3335
US

IV. Provider business mailing address

329 WALNUT ST
FALL RIVER MA
02720-3335
US

V. Phone/Fax

Practice location:
  • Phone: 857-251-3886
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN2335246
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: